scholarly journals Why don't adolescents turn up for gambling treatment (revisited)?

Author(s):  
Serge Chevalier ◽  
Mark Griffiths

In a previous issue of the Electronic Journal of Gambling Issues, Griffiths (2001) raised 10 speculative reasons as to why so few adolescents enrol for treatment programs when compared with adults. This paper explores the issue a little further with another 11 possible reasons. These are (i) adolescents don't seek treatment in general; (ii) adolescents may seek other forms of treatment, but gambling problems are less likely to be seen as requiring intervention; (iii) treating other underlying problems may help adolescent gambling problems; (iv) a dolescent gambling 'bail-outs' can mask gambling problems; (v) a ttending treatment programs may be stigmatising for adolescents; (vi) adolescents may commit suicide before getting treatment; (vii) a dolescent gamblers may be lying or distorting the truth when they fill out survey questionnaires; (viii) a dolescents may not understand what they are asked in questionnaires; (ix) screening instruments for adolescent problem gambling are being used incorrectly; (x) adolescent gambling may be socially constructed to be nonproblematic; and (xi) adolescent excesses may change too quickly to warrant treatment.

Author(s):  
Kyonghwa Kang ◽  
Jong Sun Ok ◽  
Hyeongsu Kim ◽  
Kun-Sei Lee

The purpose of this study was to investigate the gambling factors related with the gambling problem level of adolescents to provide basic information for the prevention of adolescent gambling problems. The data was drawn from the 2015 Survey on Youth Gambling Problems of the Korea Center on Gambling Problems for Korean students in grades 7–11 (ages 13–17 years) and included 14,011 study subjects (average age 14.9 years, 52.5% male). The lifetime gambling behavior experience was 42.1%, and 24.2% had a gambling behavior experience within the past three months. The past three-month prevalence of problem gambling was 1.1%. The gambling factors related with the level of adolescent problem gambling include the presence of nearby gambling facilities, having personal relationships with people that gamble, a higher number of experienced gambling behaviors, male adolescents, and a greater amount of time spent gambling. To the best of our knowledge, this study is the first report to identify gambling factors related with the level of adolescent problem gambling in Korean adolescents using national data. These findings suggest that gambling prevention efforts must consider not only access to individual adolescents as early intervention, but also environmental strategies such as accessibility regulations and alternative activities.


Author(s):  
James R. Westphal ◽  
Lera Joyce Johnson

Objectives: To assess the effects of gender on comorbid problems and treatment-seeking among gamblers in treatment and the effects of comorbid problems on participants' gambling Method: Participants completed a survey on comorbid problems and the effects of comorbid problems on their gambling Sample: Seventy-eight adults (40 males, 38 females) enrolled in state-supported outpatient programs or Gamblers Anonymous Results: The majority of participants (53%) had multiple comorbid problems and 38.5% said they had a comorbid problem related to their gambling. Eleven different types of comorbid problems were reported. Females had significantly more comorbid problems than males; females reported problem drinking and both genders reported that depression increased the severity of their gambling problems. Conclusion: Patterns of comorbid problems and treatment-seeking are consistent with well-known gender differences in health behaviors. Clinicians involved in gambling treatment may wish to assess for depressive syndromes and problem drinking and investigate their interaction with their patient's gambling.


Author(s):  
Josefine Gehlenborg ◽  
Lara Bücker ◽  
Mira Berthold ◽  
Franziska Miegel ◽  
Steffen Moritz

Abstract Approximately 90% of problem and pathological gamblers remain untreated. This treatment gap may be diminished by the implementation of low-threshold treatment programs. As cognitive distortions play a crucial role in the development and maintenance of gambling problems, interventions targeting gambling-related biases may be particularly effective. The aim of the present study was to examine the feasibility, acceptance, and safety of a novel metacognitive training for individuals with gambling problems (Gambling-MCT). Twenty-five participants were included in an uncontrolled pilot trial with two assessment points (intervention). The intervention comprised eight training modules targeting gambling-specific cognitive distortions. At baseline and post assessment, symptom severity, as measured with the PG-YBOCS, and gambling-related cognitive distortions, as measured with the GABS, were assessed. In addition, interim assessments measuring session-specific changes were conducted. Subjective appraisal was examined after each module and also post treatment. On average, participants took part in 4.16 (SD = 2.84) training sessions. Both intent-to-treat and per protocol analyses showed significant improvements on the PG-YBOCS and the GABS (dz = 0.37–1.37). After Bonferroni correction for multiple testing, linear mixed models for the analysis of session-specific changes showed no deterioration in participants’ mental state after any of the modules. Subjective appraisal of Gambling-MCT was good. The present pilot study provides first evidence for the feasibility, acceptance, and safety of Gambling-MCT. Recruitment of participants remains challenging, emphasizing the importance of overcoming patient-related treatment barriers. Future studies need to investigate the efficacy of Gambling-MCT in randomized controlled trials.


Author(s):  
Jeffrey L. Derevensky ◽  
Lynette Gilbeau

As a result of gambling’s general social acceptability, increased availability, and new online accessibility, and gambling has increased among youth. Adolescents represent a high-risk, vulnerable group for developing gambling problems. While youth with gambling problems typically do not present in the same way as adults, they nevertheless experience a host of negative consequences associated with excessive gambling. This chapter reviews risk and protective factors, screening, and treatment strategies for gambling problems among adolescents and highlights the importance of harm minimization through prevention strategies. Education and social policy implications are provided.


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